Clinical Psychology Commons^™

The Role Of Interior Design In The Psychotherapist's Office, Vincent Ylagan

Senior Theses

A growing body of research in environmental and design psychology indicates that our surroundings can have subtle but significant effects on how we feel and think. One setting where thoughts and feelings are at the forefront of the work done is the psychotherapist’s office, where clients go to process stressors and learn strategies to overcome emotional difficulties. The current study aimed to investigate how therapists and clients view the therapist office and identify the features associated with the “ideal” therapist office. Therapists, current or past therapy clients, and individuals who have not been to therapy completed short surveys. Surveys asked …

Moth To A Flame: An Investigation Of The Personality Traits And Early-Life Trauma Histories Of Women Who Have Survived Adult Relationships With Men With Pathological Narcissism, Michelle D. Roberts

Dissertations

Although emotional and psychological abuse, in addition to physical assault, are now commonly accepted as aspects of Intimate Partner Violence (IPV), narcissistic abuse as a subset of IPV is not widely recognized or understood. Due to the extremely debilitating, chronic mental health effects of narcissistic abuse (Bremner, 2008; Campbell, 2002; Yoon et al., 2009), this study sought to explore the experiences, personalities, early-life (childhood) trauma histories and mental health outcomes of heterosexual women who self-identify as having been in an adult romantic relationship with a man with pathological narcissism. Specifically, this study aimed to identify the nature and frequency of …

Pledged Into Harm: Sorority And Fraternity Members Face Increased Risk Of Sexual Assault And Sexual Harassment, Melissa L. Barnes, Alexis Adams-Clark, Marina N. Rosenthal, Carly P. Smith, Jennifer J. Freyd

Dignity: A Journal of Analysis of Exploitation and Violence

The purpose of this manuscript is to examine the risk of sexual exploitation (both assault and harassment) associated with sorority and fraternity membership on U.S. college campuses. The results from this study come from data collected through an online survey. Participants (N=883) at a large Pacific Northwestern university provided information related to their sorority or fraternity membership, experiences of sexual violence (i.e., assault and harassment), and alcohol use. We both replicated and extended past research. Corroborating prior research, Greek-affiliated students experienced higher rates of sexual assault than non-affiliated students. We extended past research by focusing on sexual harassment …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman

Electronic Theses and Dissertations

The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …

A Proposal To Develop And Pilot-Test The Effects Of A Culturally Adapted Stigma Intervention For Latinos, Sandy Ahumada

CMC Senior Theses

The bulk of research examining barriers to mental health services (MHS) for Latinos focuses on financial obstacles such as socioeconomic status and insurance coverage. Unfortunately, less work has been done on cultural barriers such as stigma. The purpose of this proposed study is to develop and pilot-test a culturally adapted contact intervention for Latinos that reduces stigma and increases help-seeking intentions. This study will test the differential efficacy of utilizing psychoeducation with the newly developed interpersonal contact intervention (PIC) as opposed to psychoeducation (P) only. Participants (n=324) will fill out pre- (T1), post- (T2), and 1-week follow-up (T3) …

Exploring Spiritually Integrated Psychotherapy In Clinical Practice, Tim Rieck

Theses and Dissertations (Comprehensive)

ABSTRACT

Key Words: religion, spirituality, sacred, intervention, spiritual intervention, soul

Over the past twenty years, spirituality and religion have gained increased attention in the field of psychotherapy. In the research of psychotherapy, psychology, and social work, there is recognition that spirituality and religion can contribute to positive outcomes when people are faced with various challenges and distresses in life.

The main challenges are tied into determining how to move the research beyond the fact that spirituality has importance in psychotherapy to exploring how spirituality is integrated in psychotherapy. There are numerous questions to explore regarding the application of spirituality into …

Psychologists' Use Of Touch In Individual Psychotherapy With Deaf And Hard-Of-Hearing Clients, Caroline M. Kobek Pezzarossi Ph.D, Irene W. Leigh Ph.D, Daniel S. Koo Ph.D

JADARA

The use of touch in psychotherapy is a topic often undiscussed in graduate training programs. Stenzel and Rupert’s 2004 study showed that nearly 90% of clinicians never or rarely offered touch to clients during a session. This study examined the use of touch in a psychotherapeutic setting with culturally Deaf clients, since touch is a culturally accepted, even expected, practice. Results indicated that there was no statistically significant difference among culturally Deaf therapists compared with the Stenzel and Rupert’s (2004) findings, but there is a statistically significant difference in those who identify as hearing and work with culturally Deaf clients. …

A Mule For The Patriarchy: Waking Up To The Harm Of Prostitution To Wives And Families, Andrea Heinz

Dignity: A Journal of Analysis of Exploitation and Violence

I exited from commercial sexual exploitation eight years ago. Here, I share my reflections on how my actions directly impacted other women. I describe how my participation in the sex trade adversely affected the wives and girlfriends of sex buyers. I posit that sex sellers negatively impact these vicarious victims by subscribing to and endorsing “sex work” ideology. I assert that the collective good of all women is diminished by viewing sexual services as a market commodity. I stress that the collective good of all women is enhanced by assuming responsibility and compassion for one another.

Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Seeing The Shadow Women: The Hidden Victims Of Prostitution, Donna M. Hughes

Dignity: A Journal of Analysis of Exploitation and Violence

A group of hidden victims of prostitution has been brought to light by Ingeborg Kraus, a trauma therapist in Germany, and Andrea Heinz, a woman with experience in the sex trade in Canada. Dignity has published four articles by these two writers in the last year. Their nascent body of work is uncovering important new information and perspectives on prostitution. Through their own experience and interviews with wives of sex buyers and women with sex trade experience they show us a more holistic view of the harm of prostitution. They write about the wives and families of men who are …

Women Exiting Prostitution: Reports Of Coercive Control In Intimate Relationships, Tammy Schultz, Aimee A. Callender, Sally Schwer Canning, Jacey Collins

Dignity: A Journal of Analysis of Exploitation and Violence

There is burgeoning research on intimate partner violence (IPV) experiences among women globally. However, there is a dearth of research on IPV experiences among marginalized populations in Western countries. Over the past decade, IPV research has shifted from a focus only on physical and sexual violence to include coercive control experiences. These include a continuum of nonviolent behaviors centered on maintaining dominance over one’s partner. However, the empirical literature on examining coercive control among women in prostitution within non-commercial intimate partners is lacking. In this study, we analyzed interviews with 17 women exiting prostitution and examined reported IPV sexual, physical, …

Loss, Grief, And Racial Health Disparities During Covid-19: Same Storm, Different Boats, Joyce Yang, Sierra Carter

Journal of Interdisciplinary Perspectives and Scholarship

No abstract provided.

First Responder Mental Health, Kira Swensen, Timothy Keady, Maren Wright Voss

All Current Publications

Communities spend thousands of dollars on first responders to protect them physically: body armor for law enforcement officers, heat resistant gear for firefighters, gloves and reflective clothing for Emergency Medical Services (EMS) personnel. Supporting and investing in programs related to first responders’ mental health is equally important in keeping their minds safe. First responders train long hours each year to stay prepared for almost any situation. In the past, training has centered around physical safety and job efficiency. In recent years, efforts have been made to include mental health training and reduce the stigma associated with mental health for first …

Traumatic Shame Memories And Development Of Paranoid Ideations, Anwesha Maitra

Psychology and Counseling Theses

Paranoia and persecutory delusions constitute the symptoms of established disorders such as schizophrenia in clinical population. Paranoia is believed to exist as a continuum within the general population. A ‘threat anticipation model’ was established by Freeman and his colleagues suggested that paranoid delusions arise from the interaction of vulnerability, emotional processes, and reasoning basis. Paranoia in the subclinical population can be caused due to high levels of emotional variants such as depression, anxiety, fear and a concept of self-awareness in a psychological individual (Carvalho et al., 2019; Lincoln et al.2009).

Recent studies have focused on the associations between these emotional …

Experiences Of Latinx's Adult Transition To The U.S. And The Clinical Implications That Arise In Acclimating Into The Dominant Culture: An Interpretive Phenomenological Analysis, Gabriela Olavarrieta

Doctoral Dissertations

There has been a significant gap in the literature regarding the lived experience of the Latinx adult transition to the United States and the clinical implications that arise in acclimating to the dominant culture, particularly under the Trump Administration. The approach for the current research examined Latinxs’ adulthood transitions to the United States, experiences of acculturative stress, including instances of discrimination as well as their experiences acclimating or assimilating into the dominant culture. This study also examined what seeking, or being unable to seek, mental health services looked like in the current sociopolitical climate. Interpretive phenomenological analysis was utilized to …

Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore

Counseling & Human Services Theses & Dissertations

The purpose of this systematic review and meta-analysis was to compare group treatment effectiveness for substance use disorders within the U.S. across treatment philosophies as it relates to the primary research question, Is there a significant difference of group treatment effectiveness between Abstinence and Harm Reduction treatment philosophies? It was hypothesized that group treatment will remain an effective intervention to treat substance use disorders between treatment philosophies and that no significant differences exist between-group comparisons. The aim of this study is to provide evidence of treatment effectiveness that will ultimately improve treatment outcomes for substance use disorders, provide guidance for …

Feasibility And Validity Of Asking Patients To Define Individual Levels Of Meaningful Change On Patient-Reported Outcomes, Salene M.W. Jones, Yuxian Du, Ari Bell-Brown, Kaylin Bolt, Joseph M. Unger

Journal of Patient-Centered Research and Reviews

Purpose: Patient-reported outcomes (PROs) are frequently used in clinical care to monitor treatment response. However, most guidelines on PRO use treat all patients the same. This study tested the feasibility and validity of a method for determining individually meaningful change in PRO measures.

Methods: Participants (n = 398) completed 12 pain and distress questions to define individually meaningful change. This mixed-methods study used both quantitative and qualitative analyses, including descriptive statistics, inferential statistics, and content analysis.

Results: Two-thirds (67%) of the sample reported at least one medical condition, including depression and back pain. Most participants (70%–90%) were able to answer …

Examining Afro-Cultural Values In African American Women With Childhood Sexual Abuse History: Its Relationship With Therapeutic Outcomes, Bibi Aneesa Subhan

Student Theses

In the United States, African American women are not only more likely to have experiences of childhood sexual abuse (CSA) but experience some of the severest forms of it. The presence of Afro-cultural values can play a significant role in the therapeutic outcomes of women who do seek out treatment after their experiences of CSA. That is, Afro-cultural values such as spirituality, communalism, utilization of the Black Church, and adherence to the Strong Black Women archetype (SBWA) can impact the efficacy of treatment for Black female survivors of CSA. The purpose of this study is to assess the separate relationships …

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

Predictors Of Quality Of Life Among An International Sample Of Mothers Of Children 12 And Under With Corpus Callosum Disorders, Peggy Henninger, Donna M. L. Heretick

Journal of Social, Behavioral, and Health Sciences

Previous research supports application of the Double ABCX model of family adaptation of parents of children with autism spectrum disorder and other pervasive developmental disorders. This is the first study to consider processes of adaptation among parents of children with agenesis of the corpus callosum (ACC). Using a quantitative cross-sectional design, an international sample of 266 mothers of children, aged 12 or under, with ACC completed an online survey. Parental reports of stress, resources, coping, and sense of coherence were evaluated as predictors of four subdimensions of parental quality of life for 178 mothers. In general, findings support the Double …

Connecting To The Self: Increasing Self-Awareness In Children With Asd, Development Of A Method, Madison Janke

Expressive Therapies Capstone Theses

Dance/movement therapy is a popular method utilized with the autism spectrum population due to its focus on increasing social skills, developing relationships, improving function, increasing positive body image, and expanding movement repertoire. The literature indicated that mirroring is the most common and most utilized DMT intervention for this population, but it provided minimal alternative dance/movement therapy interventions. The dance/movement therapy method implemented through this research attempted to provide an alternative to mirroring through the creation of a body outline. This method was developed through the theoretical framework of relational-cultural theory, emphasizing the impact that relationships can have on the shaping …

Creating Connection Through Dance/Movement Therapy Among Older Adults With Dementia: Development Of A Method, Anna J. Barnes

Expressive Therapies Capstone Theses

The purpose of this thesis is to examine the use of Dance/movement therapy (D/MT) with a focus on sensory stimulation among individuals living with dementia to promote a higher level of engagement, connection, and reminiscence. This thesis will provide a literature review on the challenges that individuals living with dementia experience and the importance of a person-centered approach to care that is grounded in relationship (Newman-Bluestein & Chang, 2017). Additionally, the role that Dance/movement therapy plays among people with dementia and the benefits of sensory stimulation within this population are also included. Finally, a Dance/movement therapy intervention that was implemented …

Exploring The Experience Of Psychological Distress For Young Adults With Cancer: Implications For A New Diagnosis Of Medical Traumatic Stress, Audrey Ryan

Counseling and Psychology Dissertations

The purpose of this qualitative study was to investigate how a serious medical diagnosis, such as cancer, can act as an acute or prolonged trauma. This was explored through the lived experiences of psychological distress of young cancer survivors. Participants were 12 men and women who had been diagnosed with cancer within the past seven years when they were between the ages of 18 and 39. From these interviews several themes emerged that describe the phenomenon of what I have termed medical traumatic stress.

Trauma from a medical event does not currently meet criteria for PTSD in the DSM-5 …

Navigating "Technoference" In The Family System, Kathlynn Sergent

Educational Specialist, 2020-current

This integrative literature review explores the increase of technology use in families, with a focus on how technology is disrupting in-person social interactions within the family system. Many studies have been conducted on how technology impacts a couple’s romantic relationship, and only a few have examined the relationship between the parent and child. This review is one of the first to examine how technology may affect the entire family unit from before children to raising adolescents. Each section of the family unit is examined, beginning with before children, followed by the early bonding and attachment associated with infant/childhood, and then …

Gender, Race, And Childhood Abuse As Predictors Of Borderline Personality Disorder, Olivia Moses

Electronic Theses and Dissertations

Borderline Personality Disorder (BPD) is a debilitating personality disorder that impacts anywhere between 1% to 5% of Americans. Studies claim that women are significantly more at risk than men to suffer from this disorder and may experience stronger symptoms. Previous research has found that victims of childhood abuse such as sexual abuse, physical abuse, and neglect are more at risk for developing Borderline Personality Disorder as adults, particularly when abuse is paired with genetic susceptibility. Some researchers claim that there are no detectable racial differences in Borderline Personality Disorder, but previous studies often have very small sample sizes taken from …

Effects Of The Supervisory Relationship On Counselors Development Of Self-Efficacy, Carolyn A. Russo

Education Dissertations

Abstract

The growing need and use of mental health services illustrates how critical the development of competent counselors is to the nation’s health. Level of counselor self-efficacy is suggested to strongly influence counselor development and competency in practice. Several supervisory factors have been identified in the literature as significantly influencing counselors’ level of self-efficacy. However, the effect of the supervisory relationship and its impact on post-graduate counselor-in-training self-efficacy is unknown. The purpose of this phenomenological study was to explore the construct of counselor self-efficacy in relation to the supervisory relationship and the development of counseling skills in a post-graduate sample. …

The Impact Of Social Climate On Self-Identity, Substance Use, And Mental Health Among Lgbtq+ College Students, Laura Agnich, Liyah C. Morgan

National Youth Advocacy & Resilience Conference

Substance abuse is an unfortunate but commonly used escape for many LGBT youth as they lack resources to help address anxiety and trauma. When faced with a constant state of fear of violence and identity concealment many turn to drugs or suicide. This session will provide information on addressing LGBT youth substance abuse and creating an inclusive campus climate.

Empty Cribs: Infertility Challenges For Orthodox Jewish Couples, Itay Kohane

Antioch University Dissertations & Theses

This dissertation discusses an issue that is of importance to many people throughout their lifetime—infertility. One in every eight couples (12%) is incapable of carrying a pregnancy to term after one year of natural attempts. This paper further examines the prevalence of infertility among couples, bringing into focus more common variables such as gender and age. But, going beyond these, the present study will demonstrate that other variables including stressors such as social factors, interpersonal dynamics, and personal judgment affect couples in a manner which indirectly reduces their chances of conceiving a child. This research will touch on a number …

Origins Of Self-Compassion: The Impact Of The Early Caregiving Environment, Nicoleta Dragan

Electronic Theses, Projects, and Dissertations

The purpose of the present study was to examine the impact of early attachment on self-compassion in early adulthood utilizing a causal model to assess the mediating effects of emotional regulation and shame (Figure 1). Participants were 133 undergraduate students (143 females and 90 males) between 18 and 28 years old (M = 22.7 yrs.) from a Southern California university. Structural equation modeling (SEM) using EQS (version 6.1) was used to analyze the data. Results showed an indirect effect of early attachment on self-compassion through emotional regulation and shame; a direct, moderate effect of early attachment on emotional regulation and …